Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Dental Assoc Ltd

Organization Dentist · NPI 1457416356

Pediatric Dental Assoc Ltd provides Dentist services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Lehigh Ave
Philadelphia, PA 19125 Not confirmed with CMS for 18 years — call before visiting
Phone: (215) 707-1030
Fax: (215) 707-0083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS025205L (PA)

Record details

NPI number1457416356
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPediatric Dental Associates
Authorized official Michael Rosenbaum — Partner · (215) 743-3700
NPI enumeratedDecember 22, 2006
Last updated in NPPESMay 30, 2008
Mailing address6404 Roosevelt Blvd, Phila, PA 19149

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